Finally, it can help slow the progression of chronic kidney disease in adults who also have type 2 diabetes
Diagnostic evaluation may include: Detailed neurological examination assessing sensation, reflexes, and motor function Hemoglobin A1c measurement to evaluate recent glycemic control Vitamin B12 levels and methylmalonic acid (if B12 is borderline) Serum protein electrophoresis (SPEP) and immunofixation to screen for paraproteinemia Thyroid function tests, as hypothyroidism can contribute to neuropathic symptoms Comprehensive metabolic panel to assess renal and hepatic function Nerve conduction studies in selected cases with atypical features Management strategies focus on optimizing glycemic control, which remains the most evidence-based intervention for preventing and potentially improving diabetic neuropathy
Therefore, GLP1 analogues can be recommended for patients with obesity and T2DM because they have weight-reducing properties 105
Foods such as plain rice, oatmeal, boiled potatoes, toast, and yogurt are gentle on the digestive tract
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